Innovacare Florida Urgent Care

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

INNOVACARE FLORIDA URGENT CARE

Practice address

15689 Southern Blvd Unit 102
Loxahatchee, FL 33470-9229

Phone

(561) 798-3030

NPI assigned

Oct 25, 2023

Organization subpart

Yes

Parent organization

INNOVACARE FLORIDA URGENT CAREAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Penelope Kokkinides

Title

Chief Administrative Officer

Phone

(201) 270-7825

Specialties & licenses 1

Addresses

Other names 1

• Premier Urgent Care Doing business as

Tax ID family

Innovacare Florida Urgent Care LLC2 organizations share this tax ID, including this one

Part of

Innovacare Florida Urgent Care LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Innovacare Florida Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Wellington, FL
  • NPI 1134824154
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1698192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698192000000",
    "number": "1598537359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 TAVISTOCK LAKES BLVD STE 300",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328277592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15689 SOUTHERN BLVD UNIT 102",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334709229",
            "telephone_number": "561-798-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVACARE FLORIDA URGENT CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INNOVACARE FLORIDA URGENT CARE",
        "enumeration_date": "2023-10-25",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A",
        "authorized_official_last_name": "KOKKINIDES",
        "authorized_official_first_name": "PENELOPE",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "201-270-7825"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Urgent Care Clinic/Center in Loxahatchee, FL
• Providers in Loxahatchee, FL by specialty
• Urgent Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.